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https://www.readbyqxmd.com/read/29283871/resources-for-educating-training-and-mentoring-all-physicians-providing-palliative-care
#1
James Downar
This article presents a rapid review of the published literature and available resources for educating Canadian physicians to provide palliative and end-of-life care. Several key messages emerge from the review. First, there are many palliative care educational resources already available for Canadian physicians. Second, the many palliative care education resources are often not used in physician training. Third, we know that some palliative care educational interventions are inexpensive and scalable, while others are costly and time-consuming; we know very little about which palliative care educational interventions impact physician behavior and patient care...
January 2018: Journal of Palliative Medicine
https://www.readbyqxmd.com/read/29274068/individual-supervision-to-enhance-reflexivity-and-the-practice-of-patient-centered-care-experience-at-the-undergraduate-level
#2
Alexandre Berney, Céline Bourquin
This article reports on what is at work during individual supervision of medical students in the context of teaching breaking bad news (BBN). Surprisingly, there is a relative lack of research and report on the topic of supervision, even though it is regularly used in medical training. Building on our research and teaching experience on BBN at the undergraduate level, as well as interviews of supervisors, the following key elements have been identified: learning objectives (e.g., raising student awareness of structural elements of the interview, emotion (patients and students) handling), pedagogical approach (being centered on student's needs and supportive to promote already existing competences), essentials (e...
December 22, 2017: Journal of Cancer Education: the Official Journal of the American Association for Cancer Education
https://www.readbyqxmd.com/read/29250700/ethical-dilemmas-in-communicating-bad-news-following-histopathology-examination
#3
Dan Alexandru Constantin, IonuŢ Horia Cioriceanu, Marilena Monica ţânŢu, Daniela Popa, Dana Bădău, Victoria Burtea, Gabriela CodruŢa Nemet, Liliana Marcela Rogozea
PURPOSE: The study proposes an analysis of the ethical aspects that occur in communicating bad news following histopathology laboratory tests in medical practice, in particular in the case of the anatomical pathology diagnosis confirming a medical condition of poor prognosis. BACKGROUND: Over the last decades, the progress of science and technology in the medical field, as well as the explosive increase of specialist information available on the Internet have led to unprecedented ethical issues related to the communication modality of histopathology test results to patients...
2017: Romanian Journal of Morphology and Embryology, Revue Roumaine de Morphologie et Embryologie
https://www.readbyqxmd.com/read/29242920/delivering-bad-news-attitudes-feelings-and-practice-characteristics-among-speech-language-pathologists
#4
Rinat Gold, Azgad Gold
Purpose: The purpose of this study was to examine the attitudes, feelings, and practice characteristics of speech-language pathologists (SLPs) in Israel regarding the subject of delivering bad news. Method: One hundred and seventy-three Israeli SLPs answered an online survey. Respondents represented SLPs in Israel in all stages of vocational experience, with varying academic degrees, from a variety of employment settings. The survey addressed emotions involved in the process of delivering bad news, training on this subject, and background information of the respondents...
December 13, 2017: American Journal of Speech-language Pathology
https://www.readbyqxmd.com/read/29190867/-breaking-bad-news-in-the-emergency-room-suggestions-and-future-challenges
#5
Edgar Landa-Ramírez, Antonio López-Gómez, Irma Jiménez-Escobar, Juan José Sánchez-Sosaa Sánchez-Sosaa
The aim of this paper is to describe educational programs that reportedly teach how to break bad news in the emergency department. We also suggest some recommendations on how to communicate bad news based on the research of evidence available in the field. The examined evidence points toward six major components with which physicians should familiarize when communicating bad news: 1) doctor-patient empathic communication, 2) establishing a proper space to give the news, 3) identifying characteristics of the person who receives the news, 4) essential aspects for communicating the news; 5) emotional support, and 6) medical and administrative aspects of the encounter...
November 2017: Revista Médica del Instituto Mexicano del Seguro Social
https://www.readbyqxmd.com/read/29189647/the-use-of-simulation-in-physician-assistant-programs-a-national-survey
#6
Donald Coerver, Nina Multak, Ashley Marquardt, Eric H Larson
PURPOSE: The purpose of this study was to develop a national-level description of the current use of simulation activities in physician assistant (PA) education and to assess the degree to which the use of simulation varies by PA program size and institutional type. METHODS: An electronic survey on medical simulation was sent to 177 PA program directors or to a designated simulation activities coordinator, using the directory on the Physician Assistant Education Association website...
December 2017: Journal of Physician Assistant Education
https://www.readbyqxmd.com/read/29182882/when-no-news-is-bad-news-communication-failures-and-the-hidden-assumptions-that-threaten-safety
#7
Carl Macrae
No abstract text is available yet for this article.
January 1, 2017: Journal of the Royal Society of Medicine
https://www.readbyqxmd.com/read/29176086/choosing-to-care-for-children-who-might-die-conversations-with-pediatric-residents
#8
Amy E Brown
This essay evolved from observations that pediatric resident physicians' experiences with patient deaths might influence their career paths after completing residency training. The author's journey as a physician led her to wonder whether young pediatricians who gravitated toward careers in primary care had qualitatively different experiences with death and dying during their medical training compared to those who chose fields in which they were more likely to confront death and dying on a regular basis, such as pediatric critical care, neonatology, or pediatric oncology...
2017: Perspectives in Biology and Medicine
https://www.readbyqxmd.com/read/29148827/for-video-games-bad-news-is-good-news-news-reporting-of-violent-video-game-studies
#9
Allen Copenhaver, Oana Mitrofan, Christopher J Ferguson
News coverage of video game violence studies has been critiqued for focusing mainly on studies supporting negative effects and failing to report studies that did not find evidence for such effects. These concerns were tested in a sample of 68 published studies using child and adolescent samples. Contrary to our hypotheses, study effect size was not a predictor of either newspaper coverage or publication in journals with a high-impact factor. However, a relationship between poorer study quality and newspaper coverage approached significance...
November 17, 2017: Cyberpsychology, Behavior and Social Networking
https://www.readbyqxmd.com/read/29128382/bad-news-the-influence-of-news-coverage-and-google-searches-on-gardasil-adverse-event-reporting
#10
Kate Faasse, Jarry T Porsius, Jonathan Faasse, Leslie R Martin
BACKGROUND: Human papilloma virus vaccines are a safe and effective tool for reducing HPV infections that can cause cervical cancer. However, uptake of these vaccines has been suboptimal, with many people holding negative beliefs and misconceptions. Such beliefs have been linked with the experience of unpleasant side effects following medical treatment, and media coverage may heighten such concerns. METHODS: The present study sought to assess the influence of news coverage (number of news articles per month) on adverse event reporting in response to Gardasil vaccination in New Zealand over a 7...
November 8, 2017: Vaccine
https://www.readbyqxmd.com/read/29127696/inspiring-hope-a-physician-s-responsibility-translating-the-science-into-clinical-practice
#11
REVIEW
Walley J Temple
Giving hope to patients is our responsibility. It is the essence of a meaningful practice in medicine. Science now allows us to understand this complex and multidimensional human dynamic, and translate it into clinical practice. Quantitative research has shown hope is strong even in terminal illness. Through qualitative methodology hope fostering strategies and hope hindering behaviors have been identified. This exciting new knowledge facilitates the challenging task of disclosure of bad news while enabling hope...
November 11, 2017: Journal of Surgical Oncology
https://www.readbyqxmd.com/read/29127154/stability-of-general-cognition-in-children-born-extremely-preterm-as-they-grow-older-good-or-bad-news
#12
EDITORIAL
Lex W Doyle, Peter J Anderson
No abstract text is available yet for this article.
November 10, 2017: Archives of Disease in Childhood. Fetal and Neonatal Edition
https://www.readbyqxmd.com/read/29123830/delivering-bad-news-in-emergency-care-medicine
#13
REVIEW
Douglas W Maynard
Forecasting is a strategy for delivering bad news and is compared to two other strategies, stalling and being blunt. Forecasting provides some warning that bad news is forthcoming without keeping the recipient in a state of indefinite suspense (stalling) or conveying the news abruptly (being blunt). Forecasting appears to be more effective than stalling or being blunt in helping a recipient to "realize" the bad news because it involves the deliverer and recipient in a particular social relation. The deliverer of bad news initiates the telling by giving an advance indication of the bad news to come; this allows the recipient to calculate the news in advance of its final presentation, when the deliverer confirms what the recipient has been led to anticipate...
January 2017: Acute Medicine & Surgery
https://www.readbyqxmd.com/read/29118148/the-prevalence-of-dental-anxiety-in-dental-practice-settings
#14
Angela M White, Lori Giblin, Linda D Boyd
Purpose: The purpose of this study was to assess the prevalence of dental anxiety and missed dental appointments due to dental anxiety among patients within three types of private dental offices.Methods: This descriptive, cross-sectional study utilized the Modified Dental Anxiety Scale (MDAS). The MDAS consists of five questions to assess dental anxiety. Demographics and an open-ended question about missed dental appointments due to dental anxiety were included. Linear and logistic regression models were used to analyze anxiety scores as related to gender and age...
February 2017: Journal of Dental Hygiene: JDH
https://www.readbyqxmd.com/read/29064781/dynamics-of-learning-in-mlp-natural-gradient-and-singularity-revisited
#15
Shun-Ichi Amari, Tomoko Ozeki, Ryo Karakida, Yuki Yoshida, Masato Okada
The dynamics of supervised learning play a main role in deep learning, which takes place in the parameter space of a multilayer perceptron (MLP). We review the history of supervised stochastic gradient learning, focusing on its singular structure and natural gradient. The parameter space includes singular regions in which parameters are not identifiable. One of our results is a full exploration of the dynamical behaviors of stochastic gradient learning in an elementary singular network. The bad news is its pathological nature, in which part of the singular region becomes an attractor and another part a repulser at the same time, forming a Milnor attractor...
January 2018: Neural Computation
https://www.readbyqxmd.com/read/29058959/impact-of-economic-crisis-on-the-social-representation-of-mental-health-analysis-of-a-decade-of-newspaper-coverage
#16
David Dias Neto, Maria João Figueiras, Sónia Campos, Patrícia Tavares
BACKGROUND: Mass media plays a fundamental role in how communities understand mental health and its treatment. However, the effect of major events such as economic crises on the depiction of mental health is still unclear. AIMS: This study aimed at analyzing representations of mental health and its treatment and the impact of the 2008 economic crisis. METHODS: In total, 1,000 articles were randomly selected from two newspapers from a period before and after the economic crisis...
October 1, 2017: International Journal of Social Psychiatry
https://www.readbyqxmd.com/read/29056648/-we-didn-t-consent-to-this
#17
Shalini Dalal, Jessica A Moore, Colleen M Gallagher
Patients and their families have identified the need for ongoing and effective communication as one of the important aspects of medical care, especially when the cessation of disease-modifying therapies is being considered at the end-of-life (EOL). Despite recognizing that this communication is extremely important, clinicians are uneasy and find themselves inadequately trained to "break bad news" and manage emotional responses from the patient/family. The inherent difficulties in accurately predicting prognosis and discussing potential complications make these conversations even more challenging...
2017: Narrative Inquiry in Bioethics
https://www.readbyqxmd.com/read/28989583/attitudes-toward-telling-the-truth-to-cancer-patients-in-iran-a-review-article
#18
REVIEW
Ali Karimi Rozveh, Reza Nabi Amjad, Javad Karimi Rozveh, Davood Rasouli
Background:Patients generally have the right to be informed of their condition, but the debate over the issue of truth disclosure is still present. The attempt of this study is to review the approaches toward truth- telling to cancer patients in Iran. Materials and Methods: This study is a narrative review that included articles published in Iran on attitudes toward telling the truth to cancer patients. The present study extracted data from articles published in PubMed, Science Direct, Scientific Information Database (SID), Magiran, Iran Medex, Google Scholar, Iranian Research Institute for Information Science and Technology with key terms such as truth disclosure, breaking bad news, death awareness and disclosure of diagnosis without any time restriction...
July 1, 2017: International Journal of Hematology-oncology and Stem Cell Research
https://www.readbyqxmd.com/read/28977239/communicating-bad-news-an-integrative-review-of-the-nursing-literature
#19
Cassiana Mendes Bertoncello Fontes, Daniele Vieira de Menezes, Maria Helena Borgato, Marcos Roberto Luiz
Objectives: describe how the process of breaking bad news is established and identify how nurses approach the task of giving bad news. Method: integrative review of the literature for articles in Portuguese and English published between 1993-2014, in the databases: Bireme, PubMed, Scopus, Web of Science, CINAHL and Embase. Nine articles were included using the selection flow chart. A digital form was completed for each article according to the Consolidated Criteria for Reporting Qualitative Research checklist and the level of scientific evidence was determined...
September 2017: Revista Brasileira de Enfermagem
https://www.readbyqxmd.com/read/28945712/breaking-bad-news-an-evidence-based-review-of-communication-models-for-oncology-nurses
#20
Meridith Bumb, Joanna Keefe, Lindsay Miller, Janine Overcash
BACKGROUND: A diagnosis of cancer is a stressful, difficult, and life-altering event. Breaking bad news is distressing to patients and families and is often uncomfortable for the nurse delivering it. Evidence-based communication models have been developed and adapted for use in clinical practice to assist nurses with breaking bad news.

. OBJECTIVES: The purpose of this article is to provide an overview on breaking bad news and to review the utility of the SPIKES and PEWTER evidence-based communication models for oncology nurses...
October 1, 2017: Clinical Journal of Oncology Nursing
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